Rachelle Burque, LMHC-QS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18417 Issued in FL

Practice address

231 W Bay Ave
Longwood, FL 32750-4125

Phone

(407) 801-4846

NPI assigned

Dec 23, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachelleburque@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Illuminating Pathways LLC

  • Mental Health Counselor
  • Longwood, FL
  • NPI 1538922521
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1487199600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W BAY AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504125",
            "telephone_number": "407-801-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W BAY AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504125",
            "telephone_number": "407-801-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURQUE",
        "first_name": "RACHELLE",
        "credential": "LMHC-QS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "18417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briatta Buntjer, DC
• Marisa L Burkhart, LMT
• Petey Dunbar Burnett-Silveira, MED
• Mary Katherine Burnett, OTR/L
• Zachary Voshon Burns, RMFTI
• Matthew Brooks Butler, DC
• Lenora Butterbaugh, APRN
• Chelsea Byerly, ST, ITDS/EI
• Luke Robert Byfield
• Marianne Elizabeth Byfield, BCBA

• Mental Health Counselor in Longwood, FL
• Providers in Longwood, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.